title: Double floating arm injury in a child: a case report and review of the literature.
abstract: The combination of ipsilateral humeral fractures at three different levels namely proximal, shaft and supracondyle has been rarely defined in the literature. We present a case report on such a complex injury in a 10-year-old child after falling down from the second floor of his house while playing. To the best of our knowledge, no such case report exists in the English literature. We define it as double floating arm injury. Firstly, shaft of humerus was open reduced and fixed with 4.5 mm narrow dynamic compression plate. Then closed reduction and pinning of the supracondylar humerus under an image intensifier was obtained. Open reduction using deltopectoral approach to the proximal humerus was done and the fracture was fixed with three K-wires. Ipsilateral multiple fractures in children often result from high energy trauma. Immediate reduction and fixation is required. Usually surgeons need to treat simple fractures firstly, which makes the subsequent treatment of complex fractures easier.
authors.affiliation: Department of Orthopedics , Pt BDS PGIMS Rohtak, 319/19, Medicos Agencies, Opp. Civil Hospital, Rohtak 124001, Haryana, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Singla
authors.forename: Amit
authors.initials: A
authors.lastname: Batra
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
authors.forename: Vinit
authors.initials: V
authors.lastname: Verma
authors.forename: Narender-Kumar
authors.initials: NK
authors.lastname: Magu
authors.forename: Reetadyuti
authors.initials: R
authors.lastname: Mukhopadhyay
mesh_terms: D002648:Child; D006801:Humans; D006810:Humeral Fractures / Q000150:complications*; D008297:Male; D012784:Shoulder Fractures / Q000150:complications*